Synuclein gamma predicts poor clinical outcome in colon cancer with normal levels of carcinoembryonic antigen

<p>Abstract</p> <p>Background</p> <p>Synuclein gamma (SNCG), initially identified as a breast cancer specific gene, is aberrantly expressed in many different malignant tumors but rarely expressed in matched nonneoplastic adjacent tissues. In this study, we investigated...

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Main Authors: Xing Xiaofang, Qu Like, Lu Aiping, Dong Bin, Liu Caiyun, Meng Lin, Wu Jian, Eric Shi Y, Shou Chengchao
Format: Article
Language:English
Published: BMC 2010-07-01
Series:BMC Cancer
Online Access:http://www.biomedcentral.com/1471-2407/10/359
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author Xing Xiaofang
Qu Like
Lu Aiping
Dong Bin
Liu Caiyun
Meng Lin
Wu Jian
Eric Shi Y
Shou Chengchao
author_facet Xing Xiaofang
Qu Like
Lu Aiping
Dong Bin
Liu Caiyun
Meng Lin
Wu Jian
Eric Shi Y
Shou Chengchao
author_sort Xing Xiaofang
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Synuclein gamma (SNCG), initially identified as a breast cancer specific gene, is aberrantly expressed in many different malignant tumors but rarely expressed in matched nonneoplastic adjacent tissues. In this study, we investigated the prognostic potential of SNCG in colon cancer particularly in the patients with normal carcinoembryonic antigen (CEA) levels.</p> <p>Methods</p> <p>SNCG levels were assessed immunohistochemically in cancer tissues from 229 colon adenocarcinoma patients with a mean follow-up of 44 months. Correlations between SNCG levels and clinicopathologic features, preoperative serum CEA level, and clinical outcome were analyzed statistically using SPSS.</p> <p>Results</p> <p>SNCG levels in colon adenocarcinoma were closely associated with intravascular embolus and tumor recurrence but independent of preoperative serum CEA levels. SNCG expression was an independent prognostic factor of a shorter disease-free survival (DFS) and overall survival (OS) (<it>P </it>< 0.0001). Multivariate analysis revealed that both tissue SNCG and serum CEA were independent prognostic factors of DFS (<it>P </it>= 0.001, <0.0001, respectively) for 170 patients with colon adenocarcinomas. Importantly, SNCG remained a prognostic determinant of DFS and OS (<it>P </it>= 0.001, 0.002) for 97 patients with normal preoperative serum CEA level.</p> <p>Conclusions</p> <p>Our results suggest for the first time that SNCG is a new independent predicator for poor prognosis in patients with colon adenocarcinoma, including those with normal CEA levels. Combination of CEA with SNCG improves prognostic evaluation for patients with colon adenocarcinoma.</p>
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spelling doaj.art-085a1a1fa34049d28e087dffda77b3a92022-12-21T21:18:20ZengBMCBMC Cancer1471-24072010-07-0110135910.1186/1471-2407-10-359Synuclein gamma predicts poor clinical outcome in colon cancer with normal levels of carcinoembryonic antigenXing XiaofangQu LikeLu AipingDong BinLiu CaiyunMeng LinWu JianEric Shi YShou Chengchao<p>Abstract</p> <p>Background</p> <p>Synuclein gamma (SNCG), initially identified as a breast cancer specific gene, is aberrantly expressed in many different malignant tumors but rarely expressed in matched nonneoplastic adjacent tissues. In this study, we investigated the prognostic potential of SNCG in colon cancer particularly in the patients with normal carcinoembryonic antigen (CEA) levels.</p> <p>Methods</p> <p>SNCG levels were assessed immunohistochemically in cancer tissues from 229 colon adenocarcinoma patients with a mean follow-up of 44 months. Correlations between SNCG levels and clinicopathologic features, preoperative serum CEA level, and clinical outcome were analyzed statistically using SPSS.</p> <p>Results</p> <p>SNCG levels in colon adenocarcinoma were closely associated with intravascular embolus and tumor recurrence but independent of preoperative serum CEA levels. SNCG expression was an independent prognostic factor of a shorter disease-free survival (DFS) and overall survival (OS) (<it>P </it>< 0.0001). Multivariate analysis revealed that both tissue SNCG and serum CEA were independent prognostic factors of DFS (<it>P </it>= 0.001, <0.0001, respectively) for 170 patients with colon adenocarcinomas. Importantly, SNCG remained a prognostic determinant of DFS and OS (<it>P </it>= 0.001, 0.002) for 97 patients with normal preoperative serum CEA level.</p> <p>Conclusions</p> <p>Our results suggest for the first time that SNCG is a new independent predicator for poor prognosis in patients with colon adenocarcinoma, including those with normal CEA levels. Combination of CEA with SNCG improves prognostic evaluation for patients with colon adenocarcinoma.</p>http://www.biomedcentral.com/1471-2407/10/359
spellingShingle Xing Xiaofang
Qu Like
Lu Aiping
Dong Bin
Liu Caiyun
Meng Lin
Wu Jian
Eric Shi Y
Shou Chengchao
Synuclein gamma predicts poor clinical outcome in colon cancer with normal levels of carcinoembryonic antigen
BMC Cancer
title Synuclein gamma predicts poor clinical outcome in colon cancer with normal levels of carcinoembryonic antigen
title_full Synuclein gamma predicts poor clinical outcome in colon cancer with normal levels of carcinoembryonic antigen
title_fullStr Synuclein gamma predicts poor clinical outcome in colon cancer with normal levels of carcinoembryonic antigen
title_full_unstemmed Synuclein gamma predicts poor clinical outcome in colon cancer with normal levels of carcinoembryonic antigen
title_short Synuclein gamma predicts poor clinical outcome in colon cancer with normal levels of carcinoembryonic antigen
title_sort synuclein gamma predicts poor clinical outcome in colon cancer with normal levels of carcinoembryonic antigen
url http://www.biomedcentral.com/1471-2407/10/359
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